IES-R Questionnaire


Impact of Event Scale – Revised

therapist and client in a clinical session

Instructions


Below is a list of difficulties people sometimes experience after a stressful life event. Please read each item, then select how distressing that difficulty has been for you during the past seven days. There are no right or wrong answers, please respond as honestly as you can.

This form is sent securely and directly to our clinic team, it is not stored anywhere else, and your responses will only be used to support your care.



For each item, choose the response that best describes how much that difficulty has bothered or distressed you over the past seven days: Not at all, A little bit, Moderately, Quite a bit, or Extremely.

1. Any reminder brought back feelings about it.

2. I had trouble staying asleep.

3. Other things kept making me think about it.

4. I felt irritable and angry.

5. I avoided letting myself get upset when I thought about it or was reminded of it.

6. I thought about it when I didn't mean to.

7. I felt as if it hadn't happened or wasn't real.

8. I stayed away from reminders about it.

9. Pictures about it popped into my mind.

10. I was jumpy and easily startled.

11. I tried not to think about it.

12. I was aware that I still had a lot of feelings about it, but I didn't deal with them.

13. My feelings about it were kind of numb.

14. I found myself acting or feeling like I was back at that time.

15. I had trouble falling asleep.

16. I had waves of strong feelings about it.

17. I tried to remove it from my memory.

18. I had trouble concentrating.

19. Reminders of it caused me to have physical reactions, such as sweating, trouble breathing, nausea, or a pounding heart.

20. I had dreams about it.

21. I felt watchful and on-guard.

22. I tried not to talk about it.


Explore

Services & Fees
Our Team
Blogs

Get in Touch

Book an Appointment
Make a Referral
Contact Us

Policies

Cancellation Policy
Privacy Policy
Sitemap